Since the attention span of most adults is in the 15-18 minute range and as adults we generally only remember about 25% of what we hear and as adults we normally only retain 40% of what we read, I have found that learning by doing works great, especially for a profession that uses motor/hand skills as part of their job. I have found that I can talk for an hour about the sequence of a procedure and many times I get this blank stare back from some students. But once I take them into the lab and do a demonstration (learning by observation) and they see things and feel things with their own hands (learning by doing), I can see the “light bulb moment” happen. They then begin to take the message from the lecture and the sequencing of events starts to happen. I know that I need to have the lecture portion of the lesson, but I really love getting into the lab and letting the students get to understand what we have been talking about in class. Many of them come to me and say, “I finally get it!” I had one student that just couldn't understand concepts in lecture no matter what the subject was, but she was an ace in the lab. She could take a concept and apply common sense and some of the lecture that got through and do a lab procedure better than any of her fellow students. We got her through the didactic by a thin margin, but her lab skills got her through the rest. She is now successfully employed doing the skills that she learned and is a valuable asset to her employer. My question would be how others work with students who have a lot of trouble with the book learning, but are very good at lab/skills.